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World J Clin Cases. Jun 6, 2023; 11(16): 3725-3735
Published online Jun 6, 2023. doi: 10.12998/wjcc.v11.i16.3725
Review of deep learning and artificial intelligence models in fetal brain magnetic resonance imaging
Farzan Vahedifard, Jubril O Adepoju, Mark Supanich, Hua Asher Ai, Xuchu Liu, Mehmet Kocak, Kranthi K Marathu, Sharon E Byrd
Farzan Vahedifard, Jubril O Adepoju, Xuchu Liu, Mehmet Kocak, Kranthi K Marathu, Sharon E Byrd, Department of Diagnostic Radiology and Nuclear Medicine, Rush Medical College, Chicago, IL 606012, United States
Mark Supanich, Hua Asher Ai, Division for Diagnostic Medical Physics, Department of Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, IL 606012, United States
Author contributions: Byrd SE, Vahedifard F, Supanich M, and Kocak M designed the research study; Vahedifard F, Marathu KK, and Adepoju JO performed the literature review; Liu X contributed analytic tools; Vahedifard F, Supanich M, and Ai HA wrote the manuscript; Byrd SE performed the funding support; All authors have read and approve the final manuscript.
Supported by Colonel Robert R McCormick Professorship of Diagnostic Imaging Fund at Rush University Medical Center (The Activity Number is 1233-161-84), No. 8410152-03.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Farzan Vahedifard, MD, Research Fellow, Department of Diagnostic Radiology and Nuclear Medicine, Rush Medical College, 1620 W Harrison St, Jelke Building, Unit 169, Chicago, IL 606012, United States. farzan_vahedifard@rush.edu
Received: January 4, 2023
Peer-review started: January 4, 2023
First decision: January 20, 2023
Revised: January 30, 2023
Accepted: May 6, 2023
Article in press: May 6, 2023
Published online: June 6, 2023
Abstract

Central nervous system abnormalities in fetuses are fairly common, happening in 0.1% to 0.2% of live births and in 3% to 6% of stillbirths. So initial detection and categorization of fetal Brain abnormalities are critical. Manually detecting and segmenting fetal brain magnetic resonance imaging (MRI) could be time-consuming, and susceptible to interpreter experience. Artificial intelligence (AI) algorithms and machine learning approaches have a high potential for assisting in the early detection of these problems, improving the diagnosis process and follow-up procedures. The use of AI and machine learning techniques in fetal brain MRI was the subject of this narrative review paper. Using AI, anatomic fetal brain MRI processing has investigated models to predict specific landmarks and segmentation automatically. All gestation age weeks (17-38 wk) and different AI models (mainly Convolutional Neural Network and U-Net) have been used. Some models' accuracy achieved 95% and more. AI could help preprocess and post-process fetal images and reconstruct images. Also, AI can be used for gestational age prediction (with one-week accuracy), fetal brain extraction, fetal brain segmentation, and placenta detection. Some fetal brain linear measurements, such as Cerebral and Bone Biparietal Diameter, have been suggested. Classification of brain pathology was studied using diagonal quadratic discriminates analysis, K-nearest neighbor, random forest, naive Bayes, and radial basis function neural network classifiers. Deep learning methods will become more powerful as more large-scale, labeled datasets become available. Having shared fetal brain MRI datasets is crucial because there aren not many fetal brain pictures available. Also, physicians should be aware of AI's function in fetal brain MRI, particularly neuroradiologists, general radiologists, and perinatologists.

Keywords: Artificial intelligence, Fetal brain, Magnetic resonance imaging, Neuroimaging

Core Tip: The manual detection and segmentation of fetal brain magnetic resonance imaging (MRI) may be time-consuming, and susceptible to interpreter experience. During the past decade, artificial intelligence (AI) algorithms, particularly deep learning, have made impressive progress in image recognition tasks. A machine learning approach may help detect these problems early and improve the diagnosis and follow-up process. This narrative review paper investigates the role of AI and machine learning methods in fetal brain MRI.